2026 NPPES data Pediatric Infectious Diseases Physician NPI 1194832469 M.D.
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KARIN NIELSEN, M.D.

Pediatric Infectious Diseases Physician in LOS ANGELES, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
98
Medicare Part D claims · Pediatric Infectious Diseases Physician avg: 244
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.5085/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$34.09
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARIN NIELSEN, M.D. reported a CMS MIPS final score of 80.5085/100 — below the 83.1 national average — and filed 98 Medicare Part D claims in 2023.

80.5085/100
MIPS score · -3 vs avg
98
Part D claims, 2023
71%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KARIN NIELSEN, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

81 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

KARIN NIELSEN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KARIN NIELSEN, M.D.?

Near national average

NPI registry status

Active

Issued 08/24/2006

NPI 1194832469

Primary specialty

Pediatric Infectious Diseases Physician

Niche

1,066 US NPIs in this specialty

Medicare Part D claims

98 60% vs specialty avg

2023 prescription claims

Specialty avg: 244

MIPS final score

80.5085/100 2.5914999999999964% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Pediatric Infectious Diseases Physician compares to other specialties among California providers

California providers

Pediatric Infectious Diseases Physician share within California

1. Pediatric Infectious Diseases Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Infectious Diseases Physician share within California

Medicare quality performance — MIPS

KARIN NIELSEN, M.D.'s 2023 MIPS final score plotted against the Pediatric Infectious Diseases Physician national average

Near national average
MIPS Final Score
80.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Infectious Diseases Physician) — 80.5085/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Pediatric Infectious Diseases Physician) — 80.5085/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KARIN NIELSEN, M.D. is a Pediatric Infectious Diseases Physician provider practicing in LOS ANGELES, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194832469. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KARIN NIELSEN, M.D. appears in the CMS NPPES registry as a Pediatric Infectious Diseases Physician provider holding M.D. credentials at 10833 LE CONTE AVE, LOS ANGELES, CA, 90095, with a listed phone of (310) 206-3952. NPI 1194832469 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIELSEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 98 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $32K in drug spend, split 29% brand-name and 71% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.5085/100 for the 2023 performance year (Quality 80.838, Cost 20.857), compared with the national average of 83.1.

Pediatric Infectious Diseases Physician is a narrow specialty nationwide, with 1,066 enrolled providers across 50 states and an average of 244 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

10833 LE CONTE AVE
LOS ANGELES, CA 90095

Provider Details

NPI 1194832469
Specialty Pediatric Infectious Diseases Physician
Credentials M.D.
Gender Female
NPI Issued 08/24/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.5085
Final Score
Avg: 83.1
80.838
Quality
20.857
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARIN NIELSEN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UC REGENTS
LOS ANGELES, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KARIN NIELSEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

ViiV Healthcare Company

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to KARIN NIELSEN, M.D.. To verify KARIN NIELSEN, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KARIN NIELSEN, M.D. — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 98 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

98
Total Claims
$32K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
108
Total Day Supply
2,983
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$29K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
54.2 years
Avg HCC Risk Score
0.74

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tivicay
Dolutegravir Sodium
18
Enalapril Maleate
12
Lamivudine-Zidovudine
Lamivudine/Zidovudine
12
Metformin Hcl
12
Propranolol Hcl
12
Drospirenone-Ethinyl Estradiol
Ethinyl Estradiol/Drospirenone
11
Levothyroxine Sodium
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Infectious Diseases Physician Overview

How KARIN NIELSEN, M.D. fits within the Pediatric Infectious Diseases Physician landscape nationally.

1,066
Pediatric Infectious Diseases Physician Providers in US
50
States with Pediatric Infectious Diseases Physician
244
Avg Claims per Provider

KARIN NIELSEN, M.D.'s 98 claims are below the specialty average of 244.

Nearby Pediatric Infectious Diseases Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as NIELSEN.

Compare Pediatric Infectious Diseases Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARIN NIELSEN, M.D.'s specialty?
KARIN NIELSEN, M.D. specializes in Pediatric Infectious Diseases Physician and practices in LOS ANGELES, California. Credentials: M.D..
How much does KARIN NIELSEN, M.D. prescribe under Medicare Part D?
In 2023, KARIN NIELSEN, M.D. wrote 98 Medicare Part D claims totaling $32K in drug costs for N/A beneficiaries.
What is KARIN NIELSEN, M.D.'s Medicare quality score?
KARIN NIELSEN, M.D. has a CMS MIPS Final Score of 80.5085/100 (Quality: 80.838, Cost: 20.857). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARIN NIELSEN, M.D. located?
KARIN NIELSEN, M.D. is located at 10833 LE CONTE AVE, LOS ANGELES, CA, 90095. Phone: (310) 206-3952.
What is KARIN NIELSEN, M.D.'s NPI number?
KARIN NIELSEN, M.D.'s National Provider Identifier (NPI) is 1194832469, issued on 08/24/2006.
Does KARIN NIELSEN, M.D. prescribe more brand-name or generic drugs?
KARIN NIELSEN, M.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $29K in brand drug costs.
How many Pediatric Infectious Diseases Physician providers are there in the US?
There are 1,066 Pediatric Infectious Diseases Physician providers across 50 states in the US. The average Pediatric Infectious Diseases Physician provider writes 244 Medicare Part D claims per year.
What drugs does KARIN NIELSEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KARIN NIELSEN, M.D.'s most frequently prescribed drugs include Tivicay, Enalapril Maleate, Lamivudine-Zidovudine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARIN NIELSEN, M.D. accept Medicare?
KARIN NIELSEN, M.D. appears in CMS Medicare data with 98 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARIN NIELSEN, M.D.'s credentials?
KARIN NIELSEN, M.D.'s NPI is 1194832469 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology